HomeMy WebLinkAboutN2017-0506�wxxy - ,
City of Newport Beach
I IIIII�IIIIIIII II�II IIIIIIIIIIII�III
II
II
Permit No: N2017-DJUC
100 Civic Center Drive, Newport Beach, CA 92660
N 2 0 1 7 0 5
0 6
,
Permit Counter Phone (949)644-3311
Project No : 2127-2017 --
Online Inspection Request- www.newportbeachca.gov/Online
SCANNED'
i�`^+cxruu+'`
Servi0ces
Inspection Requests Phone (949)644-3255
Job Address:
429 MARIGOLD AVE NB
Thomas:Guide:
919173
Description :
REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L, REPLACE 3/4" WATER METER
BOX W/1" BOX AND PURCHASE NEW 1" METER.
Parcel#:
4592-021-0 -
Legal Desc :
CORONA DEL MAR BLK 439 LOT 21
REVIEWED
Owner:
MSW CDM LLC
Contractor :
COAST WATER & POWER
Phone:
Address:
303-870-0546
1090 RDQ
Phone:
Address :
949-548-0106 8
EN
v
GOLDCO 80401
N W ORT BEACH CA 92659
Contractor State
Lic: 738400
Applicant:
COAST WATER & POWER
License Expire :
07 31, 2019
Phone:
949-548-0106 949-289-0078[
Address:
P 0 BOX 3341
NEWPORT BEACH CA 92659
Business License:
BT96014951
Business Expire
: 12 31, 2017
Special Cond.:
PRE -CONSTRUCTION MEETING REQUIRED
Workers' Compensation Insurance - -
Carrier :
STATE COMP INS FUND
Policy No:
9087110
W. C. Expire:
10 01, 2018
Permit Processing Fee: $241.00
Sewer Connection : $250.00
Total Fee $1,750.50
Agreement Fee:
$0.00
4TT Box Cover: $64.00
Paid : $1,750.50
Traffic control Plan
Check : $0.00
Total Water Meters : $649.50
Balance : $0.00
Inspection Fee :
$495.00
Water Meter Connection : $528.00
Receipt No:
Refundable Deposit: $0,00
Total Water Meter Box: $51.00
Street Tree Fee :
$0.00
Adjustment : $0.00
Processed By:
Date: _/ /
Other Department :
Date:
Utilities Approval
:
Date: _/ /
Permit Denied
Date :
/_/'`
/ /` Q C
Traffic Approval :
Date: _/ /_
Issued Permit :
—Date:
General Services
Approval :
Date : _/ /_
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY
•TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
October 2, 2017 at 1:01:36 PM PDT 136 5 Received
LEASE C MPLETE THE FOLLOWING INFORMATION
PF:OJECT ADDRESS:
429 MARIGOLD
DESCRIPTION OF WORK:
REPLACE SEWER LATERAL & INSTALL CLEAN -OUT PER 406-L
REPLACE 3/4" WATER METER BOX W11" BOX AND PURCHASE 1" METER
MIKE KILBRIDE Phone: 949-289-0078ing Address: City/State2ip:
F-Mpa
PO BOX 3341 NEWPORT BEACH, CA 92659
OWNER: Phone:
Mailing Address:
CltylState/Zip:
CONTRACTOR: MIKE KILBRIDE 10ffice Phone: 949-348-0106
Company (If different): lJobsita Phone: 949-289-0079
COAST WATER AND POWER lother phone: FAX: 949-548-1616
Mailing Address: CitylstateRip-
PO BOX 3341 NEWPORT BEACH, CA 92659
State License Number& Class; City Business License Number:
738400 A B, C-10 BT9601491 FXP: 12-31 2017
WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
Company: STATE FUND Policy No: 9087110-14-2 Expires; 1pl1/2017
REFUNDABLE DEPOSIT INFORMATION (lfRppllcsble
Made Payable To- MIKE KILBRIDE Vendor No: 9833
Mailing Address: PO BOX 3341 N EWPORT BEACH CA 92659
Special Conditions of Permit:
17
,
Utilities: EE Traffic:
General Services: Other:
Engineering Technician: Public Works Speciallst: Date: ` permit No.
-Z1-Z--l.,2v on r I
CITY OF NEWPORT BEACH
APPLICATION FOR WATER METER OR HYDRANT METER
REQUESTED BY
(entity who is requesting meter
MAILING ADDRESS RECEIPT#
CITYISTATEIZIP
SERVICE ADDRESS
) Hydrant Meter
Deposit required
(tapping order)
( ) New Meter
New service address
(tapping order)
( ) New Meter at existing service address
(tapping order)
( ) Commercial Location (/Residential Location
rl(eter Size 1" Fes $$b
(V Meter Upgrade
Existing service address
(work order)
( ) Irrigation only
Fire Connection Fee $
{ 4146 Box Fee $,�e.L. '
Meter box & Lid - Alley/Traffic Area Fee $ or Parkways/Sidewalk Fee $
� 4
Total Fees $ Encroachment Permit Number: P 2-01-7 '(
isr$ tet� ;..,
IdX Ia lant A%It4r Yp4ptt'Cteed� Pit; It°ri
Customer Name (property owner
Billing Addre'
ss i��p�iga(d d- f� _ City/Zip I QQAA CA a�w
Residence Phone # Business Phone #
E-Mail Address
SOcial Security # or CA Drivers License
FOR OFFICE USE ONLY
CLERK DATE BUS LIC # M1D#
DATE UTILITIES COMPLETED DATE HYDRANT METER CLOSED
NEW ACCOUNT NUMBER NOTES
WORKITAPPING ORDER NUMBER
f/users/rev/shared/waterfwater meter sere app 06/23/16
2/27/2018
City of Newport Beach Page 7 of 10
4130:29PM
INSP150 - Daily Inspection Request Report
Requested Inspection Date: 02/28/2018
Inspection Type : ENCROACH
Inspection Area: PW
Site Address : 429 MARIGOLD AVE
Activity :
N2017-0506
SubType:
NEW
Status :
APPROVED
OWNER:
,MSW CDM LLC Phone : 303-870-0546
APPLICANT:
COAST WATER & POWER Phone : 949-548-0106
949.289-0078- mikekilbride@live.com
Description :
REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L, REPLACE
3/4" WATER METER BOX W/1" BOX AND PURCHASE NEW 1" METER.
Item:
10030 CLEAN -OUT
Requested Time:
2/28/2018 12:00:OOAM Requestor: WEBUSER
Entered By:
WEBUSER
Comments:
AM
Assigned to:
zzzzzzzzzzz•
Inspector: 0� Date: Time: AM PM
Comments:
F:\Users\PBW\Shared\ENCROACH\MASTERS\FORMS\InsoectorSheet.doc
REPT131 Run Id: 4018
3/5/2018 City of Newport Beach Page 7 of 8
6:34:32AM INSP15O - Daily Inspection Request Report
Requested Inspection Date : 03/05/2018
Inspection Type: ENCROACH
Inspection Area : PW
Site Address : 429 MARIGOLD AVE
A/P/D Information:
Activity : N2017-0506
SubType: NEW
Status : APPROVED
OWNER: MSW CDM LLC Phone : 303-870-0546
APPLICANT: COAST WATER & POWER Phone : 949-548-0106
949-289-0078 mikekilbride@live.com
Description : REPLACE SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L, REPLACE
3/4" WATER METER BOX W/1" BOX AND PURCHASE NEW 1" METER.
Requested Inspection(s)
Item: 10250 FINAL - PW
Requested Time: 3/5/2018 12:00:OOAM Requestor: WEBUSER
9495480106
Entered By: WEBUSER
Comments: AM -
Assigned to: ZZZZzzzzzzz*
t
v
�,' LET ED
t
t
�I�II II'I1111 �YY
1111 �
11 BI 1xiA xAi`I�`�VAv�}Ix1v x' V � 1\1vA
v
v`xt4l�v
f4yY qq 1550%f 9jR`f{} i��`���
.... °. fr':%g`s..ps'644', k'���iS=4i•.ii .......at�